Southiere Behavioral Health

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SOUTHIERE BEHAVIORAL HEALTH

Practice address

765 McDaniel St SW Apt 4234
Atlanta, GA 30310-5313

Phone

(770) 766-3474

NPI assigned

Oct 27, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Quondarius Daniels

Title

Ceo

Phone

(229) 289-8788

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1497623896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 MCDANIEL ST SW APT 4234",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303105313",
            "telephone_number": "229-289-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 MCDANIEL ST SW APT 4234",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303105313",
            "telephone_number": "770-766-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHIERE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "QUONDARIUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-289-8788"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.